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目的了解腾冲县医疗机构发热病人蜱虫叮咬情况及相关影响因素。方法选择2014年7-8月在腾冲县疾病预防控制中心、荷花卫生院、界头卫生院、曲石卫生院和新华卫生院5家医疗机构门诊就诊的发热病人为调查对象,对调查对象进行问卷调查,了解其一般情况及蜱虫叮咬史等信息。采用单因素分析及多因素Logistic回归分析对蜱虫叮咬的影响因素进行分析。结果共回收884份有效问卷。884名调查对象中,85人(9.6%)报告有蜱虫叮咬史。单因素分析表明,蜱虫叮咬史与性别、年龄、家中是否养牛、境外务工史、进山砍柴史和进山伐木史等因素有关(P均<0.05);多因素Logistic回归分析表明,男性、家中养牛以及有境外务工史、进山砍柴和伐木史者蜱虫叮咬风险更高。结论部分腾冲县居民存在蜱虫叮咬风险,蜱虫叮咬风险在不同特征的人群中存在差异。相关疾控部门应加强对高危人群的健康教育,以减少人群感染蜱传疾病的风险。
Objective To understand the tick bites of fever patients in medical institutions of Tengchong County and related influencing factors. Methods From July to August 2014, the fever patients in outpatient treatment of five medical institutions in Tengchong County Center for Disease Control and Prevention, Lotus Health Center, Boundary Hospital, Qu Shi Hospital and Xinhua Hospital were selected as the survey subjects, Questionnaire to understand its general situation and history of tick bites and other information. Univariate analysis and multivariate logistic regression analysis were used to analyze the influencing factors of tick bites. Results A total of 884 valid questionnaires were collected. Of the 884 respondents, 85 (9.6%) reported a history of tick bites. Univariate analysis showed that the history of tick bites was related to sex, age, cattle raised at home, history of overseas workers, history of cutting firewood into the mountains and history of logging into the mountains (all P <0.05). Multivariate Logistic regression analysis showed that, Men, cattle raising at home and the history of overseas workers, mountain firewood cutting and logging history of tick bites have a higher risk. In conclusion, some residents of Tengchong County have the risk of tick bites. The risk of tick bites is different in different characteristics of the population. Related disease control departments should strengthen the health education of high-risk groups to reduce the risk of tick-borne diseases in the population.